AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON (NPI# 1720603657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720603657 |
Entity Type | Organization |
Organization Name | AMATEUR ATHLETIC UNION OF THE UNITED STATES / SPECIAL DRAGONS A NJ NON |
Practice Address |
281 Chestnut St Union NJ 07083-9411 |
Mailing Address |
77 Tiona Ave Belleville NJ 07109-2235 |
Practice Telephone | 9736678525 |
Mailing Telephone | 9736678525 |
Enumeration Date | 2020-06-16 |
Last Update Date | 2020-06-16 |
Authorized Official Name | MR. GEORGE BOSTORY (PRES/FOUNDER) |
Authorized Official Telephone | 9736678525 |
Authorized Official Credential | MAT SPECIAL EDUC |
Is Organization Subpart | Y |
Parent Organization Name | AMATEUR ATHLETIC UNION OF THE UNITED STATES INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
N | 251V00000X | Voluntary or Charitable | Agencies | ||
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Special Dragons | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619592540 | Amateur Athletic Union of The United States / Special Dragons A Nj Non | Voluntary or Charitable | 139 Cator Ave, Jersey City, NJ 07305-2801 | 2020-06-16 |
1144845595 | Amateur Athletic Union of The United States / Special Dragons A Nj Non | Day Training, Developmentally Disabled Services | 242 Chestnut St, Nutley, NJ 07110-2329 | 2020-06-11 |
Street Address |
281 CHESTNUT ST |
City | UNION |
State | NJ |
Zip Code | 07083-9411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
Find all providers in zip 07083 |
Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140735 | Melissa Hanna | Recreation Therapist | 92 Golf View Dr, Dumont, NJ 07628-1015 | 2020-06-30 |
1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
1134639479 | Tier 1 Fitness | Recreation Therapist | 5921 Westfield Ave, Pennsauken, NJ 08110-1841 | 2017-09-30 |
1871014126 | Irit Esther Malinsky I | Recreation Therapist | 111 Marion Ave, Westfield, NJ 07090-4433 | 2017-06-27 |
1780059196 | Xavier Munden | Recreation Therapist | 380 Mount Prospect Ave Apt 8c, Newark, NJ 07104-2141 | 2015-12-10 |
1699147520 | Ross Yellin | Recreation Therapist | 19 Gloucester Ct, East Brunswick, NJ 08816-3319 | 2015-10-30 |
1861831513 | Tammy C. Taylor | Recreation Therapist | 1298 State St, Hillside, NJ 07205-2320 | 2013-06-17 |
1437451580 | Rodney O. Smith | Recreation Therapist | 556 Warren St, Phillipsburg, NJ 08865-3231 | 2010-11-23 |
1639470057 | William A Carri | Recreation Therapist | 171 S Orange Ave, South Orange, NJ 07079-2268 | 2010-11-17 |
1083915631 | Kristina Marie Jeffrey | Recreation Therapist | 242 Raritan Blvd, Keyport, NJ 07735-6012 | 2010-11-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.